ABSTRACT General Paralysis of the Insane (GPI) was a deadly disease, once common in Fiji’s lunatic asylum and, by the early 20th century, thought to be caused by syphilis. The conundrum is that the majority of GPI sufferers in the asylum were Indigenous Fijians, considered to have immunity to syphilis. This immunity was probably through the prevalence of yaws amongst Indigenous Fijians. Yaws had symptoms similar to GPI and syphilis with which it was easily confused. Yaws and syphilis also invoked divergent scientific and moral discourses, with implications for how medical and scientific knowledge about the aetiology of GPI and associated moral discourses were transferred to Fiji. This paper discusses European nosology and diagnosis of GPI, yaws and syphilis, asking if GPI was misdiagnosed in Fiji, or if reports of GPI among Fijians and the effects of yaws on the nervous system are missing from tropical medicine orthodoxy.

中文翻译：

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丢失或误诊？1884年至1940年，斐济的疯癫，偏航和梅毒全面瘫痪

摘要精神错乱（GPI）是一种致命疾病，曾经在斐济的疯人院中很常见，到20世纪初，被认为是由梅毒引起的。难题在于，庇护所中的大多数GPI病人是土著斐济人，被认为对梅毒具有免疫力。这种免疫力可能是通过土著斐济人中偏航的流行。偏航的症状与GPI和梅毒相似，因此容易混淆。偏航和梅毒还引发了不同的科学和道德话语，对如何将有关GPI病因学和相关道德话语的医学和科学知识转移到斐济产生了影响。本文讨论了欧洲的疾病学和GPI，偏航和梅毒的诊断，询问在斐济是否误诊了GPI，